NPI | 1689649527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301078328) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078328) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2011-06-13 |